NPI | 1053671784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 071256-1) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 017256-1) |
225XP0200X Occupational Therapist, Pediatrics (Licence: NY 017256-1) | |
Enumeration Date | 2012-05-29 |
Last Update Date | 2012-05-29 |